Cap Supported Community Living

LBN: Broadlawns Medical Center
Cap Supported Community Living is an health care organization with primary practice located at 1801 Hickman Rd , Des Moines IA 50314-1548. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Broadlawns Medical Center can be contacted via phone (515) 282-6810, or through Mandracchia, Vincent J via phone (515) 282-2562.

Contact Information

Primary practice address
1801 Hickman Rd Des Moines IA 50314-1548
Phone: (515) 282-6810
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mandracchia, Vincent J Doctor of Podiatric Medicine (DPM)
Phone: (515) 282-2562

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1619184686
LBN Legal business name Broadlawns Medical Center
DBA Doing business as Cap Supported Community Living
Authorized official Mandracchia, Vincent J Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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